Adrienne Hairston
Effingham
Summary
Customer service oriented professional with 10+ years of healthcare industry experience. Experienced Remote Worker with capabilities of providing a secure and private work area. Able to coordinate with workflow and communicate effectively with co-workers, patients and staff through Microsoft Teams and Adobe Connect. Follows policies, procedures, and guidelines to ensure quality. Maintains and safeguards patient privacy and confidentiality. Demonstrates independent work initiative, sound judgment, and attention to detail. Good time management, adopting a flexible approach to work. Greenway EMR; Microsoft / MS Excel; MS Word; MS PowerPoint.
Overview
15
15
years of professional experience
Work History
Customer Service Representative
Results CX
11.2024 - Current
- Resolve customer inquiries, complaints, and issues providing insightful solutions
- Answer inbound calls to greet and assist customers with various needs and questions
- Research assistance requested and offered accurate information to resolve issues and respond to inquiries
- Address customer concerns and complaints and resolved issues promptly
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
Claims Processor
BCBS of SC
12.2020 - 10.2024
- Verified correct coding of procedures and entered claims into Rumba software system
- Completed spreadsheets of claims data in Microsoft Excel to help with accurate processing
- Examined and processed professional claims according to contract requirements
- Verified claims acceptance using patient benefit plans, acquiring authorization where required
Supervisor in Charge
Pee Dee Gardens Assisted Living Facility
11.2016 - 02.2020
- Administered and documented medications given to elderly residents
- Answered telephones, responding to questions or requests
- Establish or maintain patient profiles, including lists of medications taken by individual patients
- Maintain proper storage and security conditions for drugs
- Mix pharmaceutical preparations, according to written prescriptions
- Order, label, and count stock of medications, chemicals, or supplies and enter inventory data into computer
- Pre-pack bulk medicines, fill bottles with prescribed medications, and type and affix labels
- Receive written prescription or refill requests and verify that information is complete and accurate
Medication Technician
Brookdale Assisted Living
10.2015 - 03.2017
- Administered prescribed medication to residents, answered phones, and mixed pharmaceutical preparations
- Stored and distributed resident medication and ordered and stocked medications and supplies
- Kept proper records and reported changes in resident's condition
- Interacted with internal and external customers in a professional manner
- Ensured resident safety and satisfaction, received refill requests, and verified accuracy of information
Nursing Assistant
McLeod Regional Medical Center
08.2010 - 07.2015
- Assisted admissions and discharge from emergency and / or surgery departments
- Took and documented vital signs and provided emotional support to residents and their families
- Drew blood and collected specimens for laboratory analysis
- Checked blood sugar levels and assisted with laboratory tests
- Reported health, comfort, and safety observations
Education
Associate of Science - Healthcare Management
Ultimate Medical Academy
Clearwater, FL01.2019
High School Diploma - undefined
W J Keenan High School
01.1996
Skills
- Greenway EMR
- MS Word
- Payroll
- HIPAA Compliance
- Filing
- CMS1450
- CMS1500
- Leadership & Management
- Anatomy & Physiology
- Analytical skills
- Excellent communication
- Phone etiquette
- Microsoft Excel
- MS PowerPoint
- Healthcare Law
- Charting
- Processing Co-Payments
- UB04
- Insurance Verification
- Medical Terminology
- Insurance Billing Procedures
- Attention to detail
- Time management
- Inbound and outbound calling
Timeline
Customer Service Representative
Results CX
11.2024 - Current
Claims Processor
BCBS of SC
12.2020 - 10.2024
Supervisor in Charge
Pee Dee Gardens Assisted Living Facility
11.2016 - 02.2020
Medication Technician
Brookdale Assisted Living
10.2015 - 03.2017
Nursing Assistant
McLeod Regional Medical Center
08.2010 - 07.2015
High School Diploma - undefined
W J Keenan High School
Associate of Science - Healthcare Management
Ultimate Medical Academy
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